Loading...
HomeMy WebLinkAboutBUSINESS PLAN 6/21/2007f „CAL WATER - sTn cBx-6 ii 5400 DEMARET AVENUE UNIFIED PROGRi4M INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory -Program Bakersfield Fire Dept... Enironmental Services 1715 Chester Ave Bakersfield, CA 9330.1 Tel: (661)326-3979 FACILITY NAME r INSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Employees ~~ - -~~~-~.~~%~ --------. --- ------- _ a.ol Sa7~ 1 FACILITYCONTAC Business ID Number . ` , -~ ~ is-o21- obz~~r y Section 1: Business Plan and Inventory Program Routine ^ Combined ®Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection C V ~ V=V o atioinnce l OPERATION I~ ^ APPROPRIATE JPERMIT ON HAND i~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL !t _ ^ VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~J ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE 8c ON HAND COMMENTS ANY HAZARDOUS WASTE ON 51TE~: ^ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (66~~ 326-3979 nspec o -- ---_..._... - - ---- -Badge No., White • Environmental Services Yellow - Sletion Copy Business ite esponsible Party Pink -Business Copy CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 Manager TIM TRELOAR Location: 5400 DEMARET AVE City BAKERSFIELD CommCode: BFD STA 11 EPA Numb: BusPhone: (661) 837-7200 Map 123 CommHaz High Grid: 03B FacUnits: 1 AOV: SIC Code:4941 DunnBrad: Emergency Contact TIM TRELOAR Business Phone: 24-Hour Phone Pager Phone / Title / DISTRICT MGR (661) 837-7200x (661) 837-7200x ( ) - x Emergency Contact RUDY VALLES Business Phone: 24-Hour Phone Pager Phone / Title / ASST DIST MGR (661) 837-7271x (661) 837-7271x ( ) - x Hazmat Hazards: React ImmHlth Contact BILL ROSICA Phone: (661) 837-7278x MailAddr: 3725 S H ST State: CA City BAKERSFIELD Zip 93304 Owner CITY OF BAKERSFIELD Phone: (661) 837-7200x Address 1000 BUENA VISTA RD State: CA City BAKERSFIELD Zip 93311 Period to Preparers Certif'd: ParcelNo: Emergency Directives: PROG A - HAZMAT PROG T - ABOVEGROUND STORAGE TANK SITE CONTACT: PAUL ROCHA 201-5276 f:3as.d on my inq±,!iry of those individuals respt~n;ii~ie for ot~taining the information, I certify undr:> penalty of law chat I have personally examined and am familiar with the information suf~mitted and believe the information is true, accurate, and complete. Si n tore Da e TotalASTs: _ TotalUSTs: _ RSs: No EN~~ ~~~ ~ ~ ~~~~ Gall Gal -1- 07/10/2007 _~ F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit MCP SODIUM HYPOCHLORITE R IH L 200.00 GAL Hi -2- 07/10/2007 -3- 07/10/2007 F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME SODIUM HYPOCHLORITE Days On Site 365 Location within this Facility Unit Map: Grid: CAS# 7681-52-9 Liquid TMixtur~ Ambient~E ~ AmbientT~E ABOVEOGROUNDRTANKE AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 200.00 GAL 200.00 GAL 200.00 GAL - nx~r-~tcl~uua ~:ulnrviVl;iV1~ oWt. RS CAS# 12.50 Sodium Hypochlorite No 7681529 ri1~GlittL A,55J;5~1~1~1V'1~ TSeCret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies R IH / / / Hi -4- 07/10/2007 F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 Fast Format ~ Notif./Evacuation/Medical Overall Site ~ Agency Notification 04/12/2006 Employee Notif./Evacuation Public Notif./Evacuation Emergency Medical Plan 10/07/2005 MEDICAL ASSISTANCE WOULD BE PROVIDED BY MERCY HOSPITAL, TRUXTUN AVE. -5- 07/10/2007 F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Site ~ ~ Release Prevention 04/12/2006 ~ SITE IS VISITED DAILY BY A CWS EMPLOYEE WHO IS TRAINED IN HAZMAT REPORTING. Release Containment 10/07/2005 SECONDARY CONTAINMENT. ~icaai vN Other Resource Activation -6- 07/10/2007 F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ o~lC1:1011 nctGCliu~ Utility Shut-Offs 04/12/2006 ELECTRICAL: MAIN BREAKERS IN ELECT PANELS WATER: WATER WELL LOCK BOX: NO Fire Protec./Avail. Water 10/18/2006 WATER AVAILABILITY - WELL DISCHARGE Building Occupancy Level 03/13/2006 UNMANNED SITE -7- 07/10/2007 F CALIFORNIA WATER SRV CBK-06 SiteID: 015-021-002944 ~ - Fast Format ~ ~ Training Overall Site ~ ~ Employee Training 04/12/2006 ~ MATERIAL SAFETY DATA SHEETS ON FILE IN BLDG. BREIF SUNIMARY OF TRAINING PROGRAM: DAILY SITE VISITS ARE MADE BY PUMP OPERATORS TRAINED IN HAZMAT REPORTING PROCEDURES. MONTHLY COMPANY SAFETY PROGRAM ADDRESSES HAZMAT TRAINING. rayc ~ nciu i.Vi ru~.uic V5c nclu tV.L rUI.ULC VaC -8- 07/10/2007